MEDICARE: MARISOL A. GARCIA-HODGE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	L4385	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	X0124948	OTHER	TX	DPS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	94562	OTHER	TX	CARELINK
4	8G8249	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1659388957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISOL A. GARCIA-HODGE M.D.

Provider Business Mailing Address
First Line	:	3066 E COMMERCE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78220
Country	:	US
Telephone Number	:	210-233-7063
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 N SAN SABA STE 960
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78207-3100
Country	:	US
Telephone Number	:	210-228-0705
Fax Number	:	210-472-0255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	03/07/2023

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